Article

The primary purpose was to detect randomized controlled trials
investigating cognitive behaviour therapy-based (CBT) treatments applied in
acute/sub-acute low back pain (LBP). The secondary purpose was to analyse the
methodological properties of the included studies, and to identify theory-based
treatment strategies that are applicable for physiotherapists. METHOD: A
systematic literature search was conducted using four databases. Risk of bias of
included studies was assessed and the methodological properties summarized. In
addition, content and treatment theory of detected CBT-based strategies were
systematically analysed and classified into three distinctive concepts of CBT:
operant, cognitive and respondent treatment. Finally, applicability of treatment
strategies in physiotherapy practice was discussed. RESULTS: Eight studies were
included in the present systematic review. Half of the studies suffered from high
risk of bias, and study characteristics varied in all domains of methodology,
particularly in terms of treatment design and outcome measures. Graded activity,
an operant treatment approach based on principles of operant conditioning, was
identified as a CBT-based strategy with traceable theoretical justification that
can be applied by physiotherapists. CONCLUSION: Operant conditioning can be
integrated in ambulant physiotherapy practice and is a promising CBT-based
strategy for the prevention of chronic LBP.

Langue : ANGLAIS